To provide a claims handling service to MDU & DDU members who are the subject of a clinical negligence claim.
KEY ACTIVITIES/ACCOUNTABILITIES
Responsible for handling own caseload within defined limits of authority & strictly in accordance with Claims Handling Protocol.
Provide support for other members of the claims handling team & contribute to a positive team culture.
Work at all times with full knowledge of, & in accordance with, the CHU Protocol and the regulatory framework e.g. the Financial Services Act & the Data Protection Act.
Provide assistance & guidance to members during the claims handling process.
Develop & maintain a good working knowledge of current technical & legal developments relevant to the work of the Claims Handling department.
Participate in educational activities within MDUSL & keep a record of training/educational activities.
Any other duties for MDUSL that are within the post holder's capabilities.
QUALIFICATIONS & EXPERIENCE
Basic knowledge of the Civil Procedure Rules
Ability to absorb and understand clinical aspects of medicine & dentistry to a level that can be applied to claims handling
Experience in the use of Microsoft Office
Experience of MDU systems, in particular Profile & COMPASS
JOB RELATED COMPETENCIES - knowledge, skills and attitude (personal, managerial and technical)
Personal/General
Good oral & written communication
Able to adapt & work under pressure, prioritising as necessary
Supportive of other team members
Able to absorb and retain a variety of information with the aim of increasing knowledge & developing self in claims handling role
Demonstrates high standards of customer service
Technical
Basic understanding of Civil Procedure Rules
Knowledge of/interest in clinical aspects of medicine & dentistry
Adherence to the MDU Claims Handling Protocol
Knowledge of in-house IT systems, particularly COMPASS & Profile
Experience in the use of Microsoft Office
KEY OUTPUTS/PERFORMANCE MEASURES
Actively managing claims & maintaining case files in good order.
Ensuring case files are adequately reserved & reviewed in accordance with Claims Handling Protocol.
Compliance with Complaints Procedure.
Determination of policy coverage & adherence to protocol for referring coverage issues.
Control & minimise indemnity payments & defence costs.
JOB CONTEXT
This position requires the post holder to manage a portfolio of low value claims, using entry level technical skills to achieve the optimum result on each case. Adherence to legislative requirements & service standards is essential. The post holder must be flexible, self-motivated & able to work as part of a team.
Beware of fraud agents! do not pay money to get a job
MNCJobs.co.uk will not be responsible for any payment made to a third-party. All Terms of Use are applicable.